Modified Benefit Formula Questionnaire

OMB 0960-0395

OMB 0960-0395

SSA collects information on the SSA 150 to determine the correct formula to use in computing the Social Security benefit for someone who receives a pension from employment not covered by Social Security. The Windfall Elimination Provision (WEP) requires use of a benefit formula that replaces a smaller percentage of a worker's pre-retirement earnings. However, the resulting amount cannot show a difference in the benefit computed using the modified and regular formulas greater than one-half the amount of the pension received in the first month an individual is entitled to both the pension and the Social Security benefit. The SSA-150 collects the information needed to make all the necessary benefit computations. SSA requires the respondents to furnish the information on form SSA-150 so we can calculate their benefits using the data they supply. SSA will calculate the benefits of applicants that do not respond to this questionnaire using the full WEP reduction. SSA employees collect this information once from the applicant at the time they file their claim. The respondents are applicants for old age and disability benefits. This is a non-substantive Change Request to add a new, fillable modality.

The latest form for Modified Benefit Formula Questionnaire expires 2021-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material
All Historical Document Collections
No material or nonsubstantive change to a currently approved collection 2024-10-24
Revision of a currently approved collection 2020-08-25
Approved without change
Revision of a currently approved collection 2017-04-28
Approved without change
No material or nonsubstantive change to a currently approved collection 2015-05-15
Approved without change
Revision of a currently approved collection 2014-04-02
Approved without change
No material or nonsubstantive change to a currently approved collection 2011-07-26
Approved without change
Revision of a currently approved collection 2011-02-04
Approved without change
Extension without change of a currently approved collection 2008-02-27
Approved without change
Extension without change of a currently approved collection 2005-01-24
Approved without change
Extension without change of a currently approved collection 2001-12-05
Approved without change
Extension without change of a currently approved collection 1998-11-13
Approved without change
Extension without change of a currently approved collection 1995-11-05
Approved without change
Revision of a currently approved collection 1992-09-16
Approved without change
Revision of a currently approved collection 1989-08-15
Approved without change
Extension without change of a currently approved collection 1986-11-04
Approved without change
New collection (Request for a new OMB Control Number) 1985-03-13

© 2024 OMB.report | Privacy Policy